Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › DURANGO › SAN JUAN DENTAL ANESTHESIA SERVICES, PROFESSIONAL LLC

SAN JUAN DENTAL ANESTHESIA SERVICES, PROFESSIONAL LLC

NPI: 1609250810 · DURANGO, CO 81301 · Dentist Anesthesiologist · NPI assigned 07/17/2015

$40K
Total Medicaid Paid
194
Total Claims
193
Beneficiaries
3
Codes Billed
2023-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCLARK, TAYLOR (OWNER)
NPI Enumeration Date07/17/2015

Related Entities

Other providers sharing the same authorized official: CLARK, TAYLOR

ProviderCityStateTotal Paid
TAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC DURANGO CO $110K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 119 $25K
2024 75 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 63 63 $30K
D9222 65 65 $7K
D9219 66 65 $3K